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Showing results for "understanding".

9161. Errors in diagnosis of spinal epidural abscesses in the era of electronic health records. | PSNet
      psnet.ahrq.gov/issue/errors-diagnosis-spinal-epidural-abscesses-era-electronic-health-records
      April 24, 2018 - Study Errors in diagnosis of spinal epidural abscesses in the era of electronic health records. Citation Text: Bhise V, Meyer AND, Singh H, et al. Errors in Diagnosis of Spinal Epidural Abscesses in the Era of Electronic Health Records. Am J Med. 2017;130(8). doi:10.1016/j.amjmed.2017.03…

9162. Doctors' handovers in hospitals: a literature review. | PSNet
      psnet.ahrq.gov/issue/doctors-handovers-hospitals-literature-review
      February 29, 2012 - Review Doctors' handovers in hospitals: a literature review. Citation Text: Raduma-Tomàs MA, Flin R, Yule S, et al. Doctors' handovers in hospitals: a literature review. BMJ Qual Saf. 2011;20(2):128-33. doi:10.1136/bmjqs.2009.034389. Copy Citation Format: DOI Google Schol…

9163. Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). | PSNet
      psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use-research-r18
      December 20, 2023 - Government Resource Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Citation Text: Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Rockville, MD: Agency for Healthcare Research and Quality. PA-14-002. Copy Citation…

9164. AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/fallspx/intro.html
      November 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention Introduction On-Time Falls Prevention was developed to provide the multidisciplinary nursing home team with electronic medical record (EMR)-based tools to effectively monitor resident fall risk and implement proactive strategies to prevent fal…

9165. Canadian Incident Analysis Framework. | PSNet
      psnet.ahrq.gov/issue/canadian-incident-analysis-framework
      December 04, 2016 - Book/Report Canadian Incident Analysis Framework. Citation Text: Canadian Incident Analysis Framework. Incident Analysis Collaborating Parties. Edmonton, AB: Canadian Patient Safety Institute; 2012. ISBN: 9781926541440. Copy Citation Save Save to your library …

9166. Educational agenda for diagnostic error reduction. | PSNet
      psnet.ahrq.gov/issue/educational-agenda-diagnostic-error-reduction
      February 27, 2019 - Review Educational agenda for diagnostic error reduction. Citation Text: Trowbridge RL, Dhaliwal G, Cosby K. Educational agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22 Suppl 2:ii28-ii32. doi:10.1136/bmjqs-2012-001622. Copy Citation Format: DOI Google Scholar…

9167. Sleep quality and fatigue among prehospital providers. | PSNet
      psnet.ahrq.gov/issue/sleep-quality-and-fatigue-among-prehospital-providers
      March 14, 2018 - Study Sleep quality and fatigue among prehospital providers. Citation Text: Patterson D, Suffoletto BP, Kupas DF, et al. Sleep quality and fatigue among prehospital providers. Prehosp Emerg Care. 2010;14(2):187-93. doi:10.3109/10903120903524971. Copy Citation Format: DOI …

9168. Group urges going metric to head off dosing mistakes. | PSNet
      psnet.ahrq.gov/issue/group-urges-going-metric-head-dosing-mistakes
      December 19, 2017 - Commentary Group urges going metric to head off dosing mistakes. Citation Text: Budnitz DS, Lovegrove MC, Rose KO. Adherence to Label and Device Recommendations for Over-the-Counter Pediatric Liquid Medications. PEDIATRICS. 2014;133(2). doi:10.1542/peds.2013-2362. Copy Citation For…

9169. For non-English speakers, drug label instructions can be lost in translation. | PSNet
      psnet.ahrq.gov/issue/non-english-speakers-drug-label-instructions-can-be-lost-translation
      September 12, 2016 - Newspaper/Magazine Article For non-English speakers, drug label instructions can be lost in translation. Citation Text: Mitka M. For non-english speakers, drug label instructions can be lost in translation. JAMA. 2007;297(23):2575-7. Copy Citation Format: Google Scholar P…

9170. Laura Levis' death outside ER has changed hospital signage, lighting in Mass. | PSNet
      psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass
      May 05, 2021 - Newspaper/Magazine Article Laura Levis' death outside ER has changed hospital signage, lighting in Mass. Citation Text: Laura Levis' death outside ER has changed hospital signage, lighting in Mass. Mullins L, Menard F. WBUR. April 27, 2023. Copy Citation Save Sa…

9171. Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups. | PSNet
      psnet.ahrq.gov/issue/do-panels-vary-when-assessing-intrapartum-adverse-events-reproducibility-assessments-hospital
      July 07, 2021 - Study Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups. Citation Text: Do panels vary when assessing intrapartum adverse events? The reproducibility of assessments by hospital risk management groups. Kerna…

9172. Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar. | PSNet
      psnet.ahrq.gov/issue/patient-safety-investigation-report-services-university-hospital-galway-uhg-and-reflected
      June 14, 2017 - Book/Report Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar. Citation Text: Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the ca…

9173. Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/materials/prevention/vaccine-trust.html
      July 01, 2021 - Invest in Trust: A Guide for Building COVID-19 Vaccine Trust and Increasing Vaccination Rates Among CNAs Invest in Trust: A Guide for Building COVID-19 Vaccine Trust Among Certified Nursing Assistants (CNAs) is designed to help nursing home leaders build COVID-19 vaccine confidence among CNAs and overcome barr…

9174. Observing Patient Care Rounds | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
      December 01, 2012 - Observing Patient Care Rounds CUSP Toolkit Communication among disciplines can be improved if viewed through the eyes of an objective observer. Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentin…

9175. Interdisciplinary communication in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/interdisciplinary-communication-intensive-care-unit
      April 18, 2011 - Study Interdisciplinary communication in the intensive care unit. Citation Text: Reader TW, Flin R, Mearns K, et al. Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;98(3):347-52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

9176. Probability error in diagnosis: the conjunction fallacy among beginning medical students. | PSNet
      psnet.ahrq.gov/issue/probability-error-diagnosis-conjunction-fallacy-among-beginning-medical-students
      June 21, 2017 - Study Probability error in diagnosis: the conjunction fallacy among beginning medical students. Citation Text: Rao G. Probability error in diagnosis: the conjunction fallacy among beginning medical students. Fam Med. 2009;41(4):262-5. Copy Citation Format: Google Scholar P…

9177. The hazards of diagnosis. | PSNet
      psnet.ahrq.gov/issue/hazards-diagnosis
      April 06, 2022 - Commentary The hazards of diagnosis. Citation Text: Schattner A, Magazanik N, Haran M. The hazards of diagnosis. QJM. 2010;103(8):583-7. doi:10.1093/qjmed/hcq080. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

9178. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33691/psn-pdf
      December 01, 2009 - Seeing an opportunity to contribute to a better understanding of this issue, we then developed our own … The goal is to have a better understanding of how and why people react the way they do and, through … this understanding, potentially prevent a disruptive event or communication mishap from occurring. … Gaining a better understanding of human factor issues; providing education and workshops supported by … Understanding Patient Safety. New York, NY: McGraw-Hill Professional; 2008. 5. Rosenstein AH.

9179. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38699/psn-pdf
      June 17, 2009 - Mapping research on culture and safety in high-risk organizations: arguments for a sociotechnical understanding … Mapping Research on Culture and Safety in High-Risk Organizations: Arguments for a Sociotechnical Understanding

9180. Orientation to Opioid Use Disorder Treatment | The Academy
      integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/obtain-training-and-support-providers-and-staff/clinicwide-orientation-oud-treatment
      January 01, 2019 - This training should improve staff’s understanding of addiction as “a chronic, relapsing brain disease … This training should help improve their basic understanding of the patients they will serve and the MAT … Understanding that opioid use disorder leads to fundamental changes in the brain can help reinforce to … Build an understanding of risk and protective factors and of the kinds of behaviors common in people … Everyone should have a basic understanding of behaviors, side effects, and complications of opioid use